Individual provider Active NPI

Rudo P Madondo-Gwitira

  • Family Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1396351474
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1014042 Issued in TX
Practice address
8200 Matlock Rd
Arlington, TX 76002-4804
Phone
(817) 473-7197
NPI assigned
Sep 23, 2020
Last updated
Nov 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1014042 TX Primary
Family Medicine Physician 207Q00000X 1014042 TX

Addresses

Primary practice location

8200 Matlock Rd
Arlington, TX 76002-4804

Mailing address

8200 Matlock Rd
Arlington, TX 76002-4804
Phone (817) 473-7197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210511000697 TX Practitioner - Nurse Practitioner 2961811690 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

3920 W Wheatland Rd
Suite 140
Dallas, TX 75237-3404
Phone (972) 283-5998

8200 Matlock Rd
Suite 100
Arlington, TX 76002-4805
Phone (817) 473-7197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1014042TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Kelsom Clinic PA Family Medicine CurrentSince Apr 1, 2021 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Jan 1, 2023 Accepting new patients
Infinite Medical PC Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Medhealth CurrentSince Oct 13, 2025 Accepting new patients
Medhealth Family Medicine CurrentSince Oct 13, 2025 Accepting new patients

Locations

250 Skillman St
Ste 202
Brooklyn, NY 11205

8200 Matlock Rd
Ste 100
Arlington, TX 76002
Phone (817) 473-7197

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

3920 W Wheatland Rd
Ste 140
Dallas, TX 75237
Phone (972) 283-5998

3301 View St
Ft Worth, TX 76103
Phone (817) 531-3616

1201 Colonel Dr
Garland, TX 75043
Phone (210) 602-1140

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

15015 Cypress Wood Medical Dr
Houston, TX 77014
Phone (281) 301-1149

1202 W Pioneer Dr
Ste 100
Irving, TX 75061
Phone (972) 254-7272

1419 Mahlmann St
Rosenberg, TX 77471
Phone (281) 342-0065

411 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 885-7668

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

424 Tarpey Rd
Texas City, TX 77591
Phone (409) 938-8431

7820 Skyline Park Dr
Wht Settlemt, TX 76108
Phone (817) 246-4671

8001 Western Hills Blvd
Wht Settlemt, TX 76108
Phone (817) 246-4953

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1396351474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024804",
            "telephone_number": "817-473-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024804",
            "telephone_number": "817-473-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADONDO-GWITIRA",
        "first_name": "RUDO",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1014042",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "1014042",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.